Quinn D W, Qureshi F, Mitchell I M
Department of Cardiothoracic Surgery, Nottingham City Hospital, United Kingdom.
Ann Thorac Surg. 2000 Jun;69(6):1926-7. doi: 10.1016/s0003-4975(00)01204-2.
A young man with a short history of increasing dyspnea, cough, and ascites was initially diagnosed as having idiopathic constrictive pericarditis and referred for an operation. The procedure revealed an atypical invasive encapsulating disease. Complete resection was impossible, and only partial relief of constriction was achieved. The patient died shortly after. Histology revealed primary mesothelioma of the pericardium. The case illustrates the difficulty in establishing this diagnosis by echocardiography and computed tomography.
一名年轻男性，病程较短，出现进行性呼吸困难、咳嗽和腹水，最初被诊断为特发性缩窄性心包炎，并被转诊接受手术。手术发现是一种非典型的侵袭性包裹性疾病。无法进行完全切除，仅实现了缩窄的部分缓解。患者术后不久死亡。组织学检查显示为原发性心包间皮瘤。该病例说明了通过超声心动图和计算机断层扫描建立这一诊断的困难。
